CANYON FALLS MIDDLE SCHOOL HOCKEY CANADA SKILLS ACADEMY
CONTACT
Complete the following application to enroll in the Canyon Falls Hockey Canada Skills Academy.
Program Fee $1100.00
Application Deadline is Wednesday, July 10, 2019.
Late applications will be accepted based on remaining number of spots in the orde
r received.
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Indicates required field
Student Name
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First
Last
Birthdate (MM/DD/YYYY)
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Gender
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Male
Female
1. Parent/Guardian Name
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First
Last
Parent/ Guardian Cell Number
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Parent/Guardian Email
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2. Parent/Guardian Name
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First
Last
Parent/Guardian Cell Number
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Parent/Guardian Email
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Current School
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CMS
Other
Current Grade
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Grade 7
Grade 6
Current Division
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Pee Wee
Atom
Not Playing Organized Hockey
Current Team
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Tier 1
Tier 2
Tier 3
Tier 4
House
Not Playing Organized Hockey
Position Played
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Defence
Forward
Goalie
Canyon Falls HCSA Program Fees Deposit Info (please read)
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YES
Program fee is $1100.00. You will receive an email from the SD23 school board office with payment instructions for the deposit and program fees. The $200.00 non-refundable deposit is due upon receipt of email. Please check yes that you are aware that the SD 23 HCSA program has a $200.00 non-refundable deposit.
Student/Athlete Contract
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YES
As a student/athlete in the Canyon Falls HCSA program , I will: 1. perform to the best of my abilities in all my classes, which includes the Hockey program; 2. attend all of my classes unless I have a serious reason for absence; 3. be on time for all of my classes; 4. abide by all school rules and it’s Code of Conduct; 5. not bully or attempt to injure any of my Hockey classmates; 6. wear Hockey Canada sanctioned equipment and dress in full gear. Failure to follow the above criteria may result in suspension/removal from Canyon Falls HCSA program. Please make sure you read this over with your son/daughter who is applying for the program. By checking the box you to agree to all aspects of the student/athlete contract.
Parent Contract
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Yes
I am aware of the commitment level needed for success in the program; I am supportive of my child's participation and I endorse this application; I have read the Student/Athlete contract. Please check YES to approve the submission of this application.
Parent/Student Authorization
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Yes
The SD23 HCSA is a high profile program. Pictures of your sun/daughter in program related activities may be used for the purpose of promotion and communication for the program. I/we authorize all information contained within this application/contract.
Please Note: To ensure that fees do not prohibit student participation, the Board will facilitate fair and confidential procedures to allow participation by students who would otherwise be excluded. Please contact the school Principal to discuss and explore options to recover the fees.
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